<form id="SubmitAddEditCommerceShippingAddressForm" action="AddShippingAddressCmd" method="post" class="AjaxForm AddEdit-Form ready">
  <input type="hidden" name="requesttype" value="ajax">
  <input type="hidden" name="storeId" value="11301">
  <input type="hidden" name="catalogId" value="16551">
  <input type="hidden" name="langId" value="-11301">
  <input type="hidden" name="orderId" id="orderId" value="7521594">

  <input type="hidden" name="taskType" id="SubmitShippingAddress_Task" value="">
  <input type="hidden" name="ajaxType" value="">
  <div id="AddEditCommerceShippingAddress" class="box-container">
    <div class="bodyArea">
      <div class="boxFields">
        <table id="ShippingInfoInputTable" cellspacing="0" cellpadding="0" border="0" class="inputTable">
          <tbody>
            <tr>
              <td class="label required"><span>*First Name</span></td>
              <td class="input">
                <input type="text" name="firstName" id="AddEditShippingInfo_FirstName" class="AddEdit-ShippingInfoField" value="" maxlength="30">
              </td>
            </tr>
            <tr>
              <td class="label required"><span>*Last Name</span></td>
              <td class="input">
                <input type="text" name="lastName" id="AddEditShippingInfo_LastName" class="AddEdit-ShippingInfoField" value="" maxlength="30">
              </td>
            </tr>
            <tr>
              <td class="label required"><span>*Address Line 1</span></td>
              <td class="input">
                <input type="text" name="addressLine1" id="AddEditShippingInfo_Address1" class="AddEdit-ShippingInfoField" value="" maxlength="30">
              </td>
            </tr>
            <tr>
              <td class="label"><span>Address Line 2</span></td>
              <td class="input">
                <input type="text" name="addressLine2" id="AddEditShippingInfo_Address2" class="AddEdit-ShippingInfoField" value="" maxlength="30">
              </td>
            </tr>

            <tr>
              <td class="label required"><span>*City</span></td>
              <td class="input">
                <input type="text" name="city" id="AddEditShippingInfo_City" class="AddEdit-ShippingInfoField" value="" maxlength="30">
              </td>
            </tr>
            <tr>
              <td class="label required"><span>*State</span></td>
              <td class="input">

                <span class="select-element-wrapper">
                  <select name="state" id="AddEditShippingInfo_State" class="AddEdit-ShippingInfoField">
                    <option value="">--Select State--</option>

                    <option value="AA">
                      AA - Other Americas
                    </option>

                    <option value="AE">
                      AE - Military Facilities
                    </option>

                    <option value="AK">
                      AK - Alaska
                    </option>

                    <option value="AL">
                      AL - Alabama
                    </option>

                    <option value="AP">
                      AP - Intl Mail - Pacific
                    </option>

                    <option value="AR">
                      AR - Arkansas
                    </option>

                    <option value="AS">
                      AS - American Samoa
                    </option>

                    <option value="AZ">
                      AZ - Arizona
                    </option>

                    <option value="CA">
                      CA - California
                    </option>

                    <option value="CO">
                      CO - Colorado
                    </option>

                    <option value="CT">
                      CT - Connecticut
                    </option>

                    <option value="DC">
                      DC - District of Columbia
                    </option>

                    <option value="DE">
                      DE - Delaware
                    </option>

                    <option value="FL">
                      FL - Florida
                    </option>

                    <option value="FM">
                      FM - Micronesia
                    </option>

                    <option value="GA">
                      GA - Georgia
                    </option>

                    <option value="GU">
                      GU - Guam
                    </option>

                    <option value="HI">
                      HI - Hawaii
                    </option>

                    <option value="IA">
                      IA - Iowa
                    </option>

                    <option value="ID">
                      ID - Idaho
                    </option>

                    <option value="IL">
                      IL - Illinois
                    </option>

                    <option value="IN">
                      IN - Indiana
                    </option>

                    <option value="KS">
                      KS - Kansas
                    </option>

                    <option value="KY">
                      KY - Kentucky
                    </option>

                    <option value="LA">
                      LA - Louisiana
                    </option>

                    <option value="MA">
                      MA - Massachusetts
                    </option>

                    <option value="MD">
                      MD - Maryland
                    </option>

                    <option value="ME">
                      ME - Maine
                    </option>

                    <option value="MH">
                      MH - Marshall Isl
                    </option>

                    <option value="MI">
                      MI - Michigan
                    </option>

                    <option value="MN">
                      MN - Minnesota
                    </option>

                    <option value="MO">
                      MO - Missouri
                    </option>

                    <option value="MP">
                      MP - Northern Mariana Isls
                    </option>

                    <option value="MS">
                      MS - Mississippi
                    </option>

                    <option value="MT">
                      MT - Montana
                    </option>

                    <option value="NC">
                      NC - North Carolina
                    </option>

                    <option value="ND">
                      ND - North Dakota
                    </option>

                    <option value="NE">
                      NE - Nebraska
                    </option>

                    <option value="NH">
                      NH - New Hampshire
                    </option>

                    <option value="NJ">
                      NJ - New Jersey
                    </option>

                    <option value="NM">
                      NM - New Mexico
                    </option>

                    <option value="NV">
                      NV - Nevada
                    </option>

                    <option value="NY">
                      NY - New York
                    </option>

                    <option value="OH">
                      OH - Ohio
                    </option>

                    <option value="OK">
                      OK - Oklahoma
                    </option>

                    <option value="OR">
                      OR - Oregon
                    </option>

                    <option value="PA">
                      PA - Pennsylvania
                    </option>

                    <option value="PR">
                      PR - Puerto Rico
                    </option>

                    <option value="PW">
                      PW - Palau
                    </option>

                    <option value="RI">
                      RI - Rhode Island
                    </option>

                    <option value="SC">
                      SC - South Carolina
                    </option>

                    <option value="SD">
                      SD - South Dakota
                    </option>

                    <option value="TN">
                      TN - Tennessee
                    </option>

                    <option value="TX">
                      TX - Texas
                    </option>

                    <option value="UM">
                      UM - US Minor Outlying Isls
                    </option>

                    <option value="UT">
                      UT - Utah
                    </option>

                    <option value="VA">
                      VA - Virginia
                    </option>

                    <option value="VI">
                      VI - Virgin Islands
                    </option>

                    <option value="VT">
                      VT - Vermont
                    </option>

                    <option value="WA">
                      WA - Washington
                    </option>

                    <option value="WI">
                      WI - Wisconsin
                    </option>

                    <option value="WV">
                      WV - West Virginia
                    </option>

                    <option value="WY">
                      WY - Wyoming
                    </option>

                  </select>
                </span>
              </td>
            </tr>
            <tr>
              <td class="label required"><span>*Zip Code</span></td>
              <td class="input">
                <input type="text" name="zipcode" id="AddEditShippingInfo_Zip" class="AddEdit-ShippingInfoField" value="" maxlength="5">
              </td>
            </tr>
            <tr>


              <td class="label required"><span>*Phone</span></td>
              <td class="input">
                <input type="text" name="phoneAreaCode" id="AddEditShippingInfo_Phone1" class="AddEdit-ShippingInfoField" value="" size="1" maxlength="3">
                -
                <input type="text" name="phoneExchange" id="AddEditShippingInfo_Phone2" class="AddEdit-ShippingInfoField" value="" size="1" maxlength="3">
                -
                <input type="text" name="phoneNumber" id="AddEditShippingInfo_Phone3" class="AddEdit-ShippingInfoField" value="" size="2" maxlength="4"><br>
                <span class="input-notice">(Please include area code)</span>

              </td>
            </tr>
            <tr>

              <td class="label required" rowspan="2"><span>*Address Label</span></td>
              <td class="input">
                <input type="text" name="label" id="AddEditShippingInfo_Label" class="AddEdit-ShippingInfoField" value="" maxlength="20"> <br>
                <span class="input-notice">(ex. Home, Office, Mom's, etc.)</span>
              </td>
            </tr>

            <tr>
              <td class="input">
                <input type="checkbox" name="ssoShipToPOBox" id="AddEditShippingInfo_POBox" class="AddEdit-ShippingInfoField" value="true">
                <span class="input-notice">This address is a P.O. Box.</span>
              </td>
            </tr>

          </tbody>
        </table>
        <!-- /inputTable -->
      </div>
      <!-- /boxFields -->
    </div>
    <!-- /bodyArea -->
  </div><!-- /AddEditCommerceShippingAddress -->

</form>